Active NPI
Travis Shaw MD PC
- Surgery Physician
- Richmond, VA
National Provider Identifier
1073904835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101245920
- Legal business name
- TRAVIS SHAW MD PC
- Practice address
- 8730 Stony Point Pkwy
Suite 120
Richmond, VA 23235-1970 - Phone
- (804) 775-4559
- Fax
- (804) 212-2476
- NPI assigned
- Feb 13, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Travis Shaw, M.D.
- Title
- President
- Phone
- (804) 775-4559
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101245920 | VA | Primary |
Addresses
Primary practice location
8730 Stony Point Pkwy
Suite 120
Richmond, VA 23235-1970
Mailing address
8730 Stony Point Pkwy
Suite 120
Richmond, VA 23235-1970
Phone (804) 775-4559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629279047 | Other | VA | NPI TYPE 1 |
National Provider Directory
National Provider DirectoryLocations
8730 Stony Point Pkwy
Richmond, VA 23235
Phone (804) 327-1166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424044800000",
"number": "1073904835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8730 STONY POINT PKWY",
"address_2": "SUITE 120",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232351970",
"telephone_number": "804-775-4559",
"fax_number": "804-212-2476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8730 STONY POINT PKWY",
"address_2": "SUITE 120",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232351970",
"telephone_number": "804-775-4559",
"fax_number": "804-212-2476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAVIS SHAW MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-13",
"last_updated": "2015-02-16",
"status": "A",
"authorized_official_last_name": "SHAW",
"authorized_official_first_name": "TRAVIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "804-775-4559",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "VA",
"license": "0101245920",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 1",
"identifier": "1629279047",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.